What Chinese medicine should I take during early menstruation?

What Chinese patent medicine should I take for early menstruation? Generally speaking, if it is only a few days in advance, it is not a big problem. If it occurs more than 7 days in advance, it can be diagnosed as the "premenstrual period" of gynecological diseases. If your period lasts longer than 7 days, it is your first menstrual period. The causes of early menstruation are: Qi deficiency and blood heat. Different causes and treatments vary. If you are 2 to 3 days advanced, it is recommended that you do not need treatment. If it occurs more than 7 days in advance, it is recommended to go to a regular hospital for treatment to find out the cause first so that better symptomatic medication can be used.

(1) Excessive heat type: The main symptoms are early menstruation, heavy flow, purple-red blood, sticky texture or blood clots; dry mouth when drinking cold water, irritability, stabbing pain in the chest and ribs, constipation, dark urine, red tongue with yellow coating, and a stringy and rapid pulse. Treatment should be based on clearing heat, cooling blood and regulating menstruation. You can choose from the following medicines: ① Longdan Xiegan Pills, 6 to 9 grams each time, twice a day, with warm water. ② Gujing Pills, 9 grams each time, twice a day, with warm water. ③ Lotus Leaf Pills, 1 pill each time, twice a day with warm water. ④ Sihong Pills, 1 pill each time, twice a day, with warm water.

(2) Deficiency-heat type: The main manifestations are early menstruation, heavy flow, red color, and thick texture; hot hands and feet, dry mouth and throat, dizziness and tinnitus, weak waist and legs, red tongue with little coating, and a thin and rapid pulse. Treatment should be aimed at nourishing yin, clearing heat and regulating menstruation. You can choose from the following medicines: ① Zhibai Dihuang Pills, 1 pill each time, 1 mouthful twice, with warm water. ② Wujibaifeng Pills, 1 pill each time, twice a day, with warm water. ③ Erzhi Pills, 9 grams each time, 3 times a day, with warm water.

(3) Qi deficiency type: The main manifestations are early menstruation, heavy flow, light color, and thin texture; mental fatigue, shortness of breath, palpitations, a feeling of emptiness in the lower abdomen, pale tongue, moist white tongue coating, and weak and large pulse. The treatment should be to invigorate Qi, nourish blood and consolidate the menstruation. You can choose from the following medicines: ① Ginseng Guipi Pills, 1 each time. Pills, twice a day, with warm water. ② Shiquan Dabu Pills, 1 pill each time, 1 to 2 times, with warm water. ③ Ginseng Yangrong Pills, 1 pill each time, twice a day, with warm water.

②Western medical explanation

Menstruation is vaginal bleeding caused by the periodic shedding of the endometrium due to cyclical changes in ovarian hormones. After puberty, the ovaries gradually develop under the stimulation of gonadotropin secreted by the hypothalamus-pituitary gland. Under the action of pituitary follicle-stimulating hormone, the follicles gradually grow, mature, and secrete a large amount of estrogen.

Under the action of estrogen, the endometrium proliferates and thickens, showing proliferative changes. Under the action of luteinizing hormone, the mature follicle ruptures and releases the egg. After ovulation, the follicle forms a corpus luteum, and the luteal cells secrete progesterone.

Under the combined effects, the endometrium proliferates further and exhibits secretory phase changes due to the secretion of its glandular epithelial cells. If the egg is not fertilized, the corpus luteum begins to shrink. The average lifespan of the corpus luteum is 14 days. After the corpus luteum atrophies, the levels of ovarian estrogen and progesterone drop rapidly, causing the endometrium to lose support and atrophy, and also fall off due to ischemia and necrosis, resulting in vaginal bleeding, which is commonly known as menstruation.

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